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Children's Health

Sinus Congestion Only When Sleeping

11/21/2011

Question:

My 3 year old daughter had a cold and was treated for an ear infection about 3 weeks ago. Prescribed Amoxicillin for 10 days. Treatment completed. Day after started with fever, chills and threw up. Dr. perscribed Augmentin. Started treatment, fever persists after 4 days, throws up once a day. Most important, has a gurgling in her nasal passages at night when she sleeps. Wakes her up at night. what to do?

Answer:

The treatment for the ear infection you describe appears to be according to established guidelines. I cannot speak to the follow-up treatment with augmentin as a viral infection can have the same symptoms which you give, but I don't have the perspective of the health care provider seeing the child to make an informed comment.
 
That said, the average number of colds a child has per year is estimated to be between 6 and 8, meaning that some children will average more, some less. It is common for a parent to feel that their child has a runny nose from fall to spring especially if the child is in school, daycare, and/or has older siblings in these settings bring the germs home.
 
The general management for colds or runny noses is plenty of liquids, appropriate sleep for age (11-13 hours per night for a three year old), and good nutrition.

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Response by:

Sarah Sauntry, RN, MS, CPNP-PC
Assistant Professor of Clinical Nursing
College of Nursing
University of Cincinnati